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Manufacturer/Marketer :

Biocon Ltd

Consume Type :

PARENTERAL

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About Insugen-N (NPH) 100IU/ml Injection

Insugen-N (NPH) 100IU/ml Injection contains human insulin, used to improve blood sugar control in adults and children with type 1 and type 2 diabetes mellitus. It maintains blood sugar levels in both adults and children. Diabetes mellitus is a condition that affects the way your body processes glucose. In Diabetes Mellitus Type 1, the body does not make enough insulin to control blood sugar levels. In Diabetes Mellitus type 2, either the body stops producing enough insulin (the hormone which helps to decrease sugar levels in the blood) or there is resistance to the action of insulin. As a result, insulin is produced in large amounts but it is not able to act on the organs of the body.

Insugen-N (NPH) 100IU/ml Injection works by ensuring rapid and consistent sugar control. Insugen-N (NPH) 100IU/ml Injection is a fast-acting type of insulin which helps to decrease blood sugar levels after the intake of meals. It prevents the chances of developing serious complications of diabetes. It facilitates the reuptake of sugar in muscle and fat cells and thus, suppresses the production of sugar in the liver.

Your doctor will advise you on how to use this medicine. It is advised to get it administered by a healthcare professional. It should be taken 15 minutes prior to the meal or within 20 minutes after you start having a meal. In some cases, you may experience injection site reactions like redness or swelling. Some people gain weight while taking insulin. You may also experience symptoms of hypoglycemia such as cold sweat, cool pale skin, nervousness or tremor, anxious feeling, unusual tiredness or weakness, confusion, difficulty in concentration, drowsiness, excessive hunger, temporary vision changes, headache, nausea and palpitation. Most of these side effects of Insugen-N (NPH) 100IU/ml Injection do not require medical attention and gradually resolve over time. However, if the side effects are persistent, reach out to your doctor.

Try not to stop taking this medicine of your own. Let your doctor know about this, as it may cause withdrawal symptoms. Do not take this medicine if you have any low blood glucose levels, kidney, liver or heart problems or problems with alcohol or other prescription recreational drugs. Along with this medicine, you should take a healthy diet, do regular exercise and maintain weight as advised by your doctor. Insugen-N (NPH) 100IU/ml Injection is a cold chain medicine and so it has to be stored in the refrigerator between 2-8 degrees Celsius else its efficiency may be lost. Do not store in the freezer of the refrigerator.

Uses of Insugen-N (NPH) 100IU/ml Injection

Type 1 diabetes mellitus, Type 2 diabetes mellitus

Directions for Use

Insugen-N (NPH) 100IU/ml Injection should never be administered intravenously (into the vein). It is administered subcutaneously in the abdomen or thigh region. Take Insugen-N (NPH) 100IU/ml Injection as advised by the doctor. If you are not well trained to self-administer Insugen-N (NPH) 100IU/ml Injection, ask a healthcare professional to administer it.

Medicinal Benefits

When you take Insugen-N (NPH) 100IU/ml Injection, it works by ensuring rapid and consistent sugar control. It facilitates the reuptake of sugar in muscle and fat cells and thus, suppresses the production of sugar in the liver.  It helps to decrease blood sugar levels after the intake of meals. It prevents the chances of developing serious complications of diabetes. Besides this, Insugen-N (NPH) 100IU/ml Injection can be safely prescribed to the diabetic mother in the pregnancy as well as lactation stage. Insugen-N (NPH) 100IU/ml Injection helps in improving the glycaemic control which in turn decreases the risk of progression of complications of diabetes like damage of retina (retinopathy), damage of kidney (nephropathy), damage of nerve cells (neuropathy), delayed wound healing, diabetic foot ulcer and others.

Side Effects of Insugen-N (NPH) 100IU/ml Injection

  • Hypoglycemia (low blood sugar)
  • Unusual tiredness or weakness
  • Confusion
  • Difficulty in concentration
  • Drowsiness
  • Excessive hunger
  • Temporary vision changes
  • Headache
  • Nausea

Drug Warnings

Insugen-N (NPH) 100IU/ml Injection is for subcutaneous use only and should never be administered intravenously (IV) or in the veins. If you are changing the brand of insulin, it should be done under strict medical supervision. Cases of heart failure have been reported when pioglitazone was used with insulin especially in patients who are at high risk of cardiac heart failure. The first symptoms of hyperglycaemia (high blood sugar level) may include symptoms like excessive thirst, dry mouth, increased frequency of urination, nausea, vomiting, drowsiness, flushed dry skin, loss of appetite and acetone odour of breath. You should closely monitor these symptoms. Symptoms like heart failure, weight gain and oedema (fluid deposition in tissue) should not be overruled. You are recommended not to consume alcohol as it may increase or decrease your blood glucose level. Care should be taken when you are traveling across more than 2 time zones. Your doctor may adjust your insulin schedule. Insugen-N (NPH) 100IU/ml Injection may decrease level of potassium leading to state of hypokalaemia that, if left untreated, may lead to respiratory paralysis, irregular heartbeat rhythm, coma and even death. Do not take this medicine if you have any low blood glucose levels, kidney, liver, or heart problems, or problems with alcohol or other prescription recreational drugs.

 

Drug-Drug Interactions

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Isophane InsulinCiprofloxacin
Severe
Isophane InsulinNalidixic acid
Severe

Drug-Drug Interactions

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Isophane InsulinCiprofloxacin
Severe
How does the drug interact with Insugen-N (NPH) 100IU/ml Injection 10 ml:
Taking Insugen-N (NPH) 100IU/ml Injection 10 ml with ciprofloxacin effects blood glucose levels, which may cause hyperglycemia (high blood sugar) and hypoglycemia (low blood sugar) less frequently..

How to manage the interaction:
Although taking ciprofloxacin and Insugen-N (NPH) 100IU/ml Injection 10 ml together can possibly result in an interaction, it can be taken if your doctor has prescribed it. However, consult the doctor immediately if you experience headache, dizziness, drowsiness, nervousness, confusion, shaking, nausea, loss of hunger, weakness, sweating, and rapid heartbeat, increased thirst, increased hunger, and increased urination. Do not stop using any medications without talking to a doctor.
Isophane InsulinNalidixic acid
Severe
How does the drug interact with Insugen-N (NPH) 100IU/ml Injection 10 ml:
Taking Insugen-N (NPH) 100IU/ml Injection 10 ml with nalidixic acid affects blood glucose levels, which may cause hyperglycemia (high blood sugar) and hypoglycemia (low blood sugar) less frequently.

How to manage the interaction:
Although taking Nalidixic acid and Insugen-N (NPH) 100IU/ml Injection 10 ml together can possibly result in an interaction, it can be taken if your doctor has prescribed it. However, consult the doctor immediately if you experience hypoglycemia or hyperglycemia. Symptoms of hypoglycemia include headache, dizziness, drowsiness, nervousness, confusion, shaking, nausea, loss of hunger, weakness, sweating, palpitations, and rapid heartbeat. Symptoms of hyperglycemia may include increased thirst, increased hunger, and increased urination. Do not stop using any medications without first talking to your doctor.
Isophane InsulinCinoxacin
Severe
How does the drug interact with Insugen-N (NPH) 100IU/ml Injection 10 ml:
Taking Insugen-N (NPH) 100IU/ml Injection 10 ml with cinoxacin affects blood glucose levels, which may cause hyperglycemia (high blood sugar) and hypoglycemia (low blood sugar) less frequently.

How to manage the interaction:
Although taking Cinoxacin and Insugen-N (NPH) 100IU/ml Injection 10 ml together can possibly result in an interaction, it can be taken if your doctor has prescribed it. However, consult the doctor immediately if you experience hypoglycemia or hyperglycemia. Symptoms of hypoglycemia include headache, dizziness, drowsiness, nervousness, confusion, shaking, nausea, loss of hunger, weakness, sweating, palpitations, and rapid heartbeat. Symptoms of hyperglycemia may include increased thirst, increased hunger, and increased urination. Do not stop using any medications without first talking to your doctor.
Isophane InsulinGemifloxacin
Severe
How does the drug interact with Insugen-N (NPH) 100IU/ml Injection 10 ml:
Taking Insugen-N (NPH) 100IU/ml Injection 10 ml with gemifloxacin affects blood glucose levels, which may cause hyperglycemia (high blood sugar) and hypoglycemia (low blood sugar) less frequently.

How to manage the interaction:
Although taking Gemifloxacin and Insugen-N (NPH) 100IU/ml Injection 10 ml together can possibly result in an interaction, it can be taken if your doctor has prescribed it. However, consult the doctor immediately if you experience hypoglycemia or hyperglycemia. Symptoms of hypoglycemia include headache, dizziness, drowsiness, nervousness, confusion, shaking, nausea, loss of hunger, weakness, sweating, palpitations, and rapid heartbeat. Symptoms of hyperglycemia may include increased thirst, increased hunger, and increased urination. Do not stop using any medications without first talking to your doctor.
Isophane InsulinEnoxacin
Severe
How does the drug interact with Insugen-N (NPH) 100IU/ml Injection 10 ml:
Taking Insugen-N (NPH) 100IU/ml Injection 10 ml with enoxacin affects blood glucose levels, which may cause hyperglycemia (high blood sugar) and hypoglycemia (low blood sugar) less frequently.

How to manage the interaction:
Although taking Enoxacin and Insugen-N (NPH) 100IU/ml Injection 10 ml together can possibly result in an interaction, it can be taken if your doctor has prescribed it. However, consult the doctor immediately if you experience hypoglycemia or hyperglycemia. Symptoms of hypoglycemia include headache, dizziness, drowsiness, nervousness, confusion, shaking, nausea, loss of hunger, weakness, sweating, palpitations, and rapid heartbeat. Symptoms of hyperglycemia may include increased thirst, increased hunger, and increased urination. Do not stop using any medications without first talking to your doctor.
Isophane InsulinTrovafloxacin
Severe
How does the drug interact with Insugen-N (NPH) 100IU/ml Injection 10 ml:
Taking Insugen-N (NPH) 100IU/ml Injection 10 ml with trovafloxacin affects blood glucose levels, which may cause hyperglycemia (high blood sugar) and hypoglycemia (low blood sugar) less frequently.

How to manage the interaction:
Although taking trovafloxacin and Insugen-N (NPH) 100IU/ml Injection 10 ml together can possibly result in an interaction, it can be taken if your doctor has prescribed it. However, consult the doctor immediately if you experience hypoglycemia or hyperglycemia. Symptoms of hypoglycemia include headache, dizziness, drowsiness, nervousness, confusion, shaking, nausea, loss of hunger, weakness, sweating, palpitations, and rapid heartbeat. Symptoms of hyperglycemia may include increased thirst, increased hunger, and increased urination. Do not stop using any medications without first talking to your doctor.

Drug-Food Interactions

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No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Diet & Lifestyle Advise

  • Exercise may lower your body’s need for insulin during and for some time after the physical activity.

  • Exercise may also speed up the effect of an insulin dose, especially if the exercise involves the area of injection site (for example, the leg should not be used for injection just prior to running).

  • Discuss with your doctor how you should adjust your insulin regimen to accommodate exercise. 

  • Avoid eating sugar food and prefer food cooked food low in calories.

  • When traveling across more than 2 time zones, you should talk to your doctor concerning adjustments in your insulin schedule.

Habit Forming

No

Therapeutic Class

ANTIDIABETICS

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Drug-Diseases Interactions

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No Drug - Disease interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Diseases Interactions

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FAQs

If you use more than recommended dose of Insugen-N (NPH) 100IU/ml Injection, your blood sugar may become low (you feel dizzy and drowsy). Please inform your doctor immediately and do as advised to avoid any unpleasant side effect.

If you use less Insugen-N (NPH) 100IU/ml Injection than you should, your blood sugar levels may increase. Please check your blood sugar. And also, do not inject a double dose to make up for a forgotten/missed dose.

Yes, Insugen-N (NPH) 100IU/ml Injection can cause oedema (e.g. swelling in arms, ankles; fluid retention), specially at the start of insulin therapy or during a change in therapy to improve control of your blood glucose. If it persists, please consult your doctor.

Insugen-N (NPH) 100IU/ml Injection can be given to treat both the condition of type 1 and type 2 diabetes mellitus. However, your doctor will decide whether Insugen-N (NPH) 100IU/ml Injection can be given to you or not depending on your present condition. Insugen-N (NPH) 100IU/ml Injection should be avoided in patients who are allergic to Insugen-N (NPH) 100IU/ml Injection or other forms of insulin. It should be avoided in patients suffering from low potassium level (hypokalemia), moderate to severe kidney disease or liver disease. Inform doctor if you are pregnant or breastfeeding.

Insugen-N (NPH) 100IU/ml Injection shows its effect within half an hour after you take it. It shows maximum effect between 1-4 hours after you take and its effects lasts up to 24 hours. But the effect may change from person to person, consult your doctor for further information.

Insugen-N (NPH) 100IU/ml Injection is a cold chain medicine which has to be stored 2-8 degree celsius only else its efficiency of reducing blood glucose level declines. Do not keep inside the freezer. So, if it is not stored between 2-8 degree celsius its efficiency may decrease.

Yes, you should inform your doctor before travelling specially when travelling to a different time zone as dose adjustment may be required.

Insugen-N (NPH) 100IU/ml Injection should not given into the veins or intravenously (IV) route. It should be only administered in the subcutaneous region below the skin. Abdomen regions (stomach) is the best site for the injecting Insugen-N (NPH) 100IU/ml Injection. However, you can also inject Insugen-N (NPH) 100IU/ml Injection in the upper arm, or thigh region, as suggested by your doctor.

Yes. Prolonged administration of Insugen-N (NPH) 100IU/ml Injection may lower your potassium level. So, close monitoring of potassium level is required. So, it is advisable to have regular medical test of potassium level.

Drug-Drug Interactions Checker List

  • PHENELZINE
  • IPRONIAZID
  • ISOCARBOXAZID
  • NIALAMIDE
  • IMIPRAMINE
  • DESIPRAMINE
  • TRANYLCYPROMINE
  • MOCLOBEMIDE
  • SELEGILINE
  • LINEZOLID
  • LITHIUM
  • TRYPTOPHAN
  • SUMATRIPTAN
  • TRAMADOL
  • CIMETIDINE
  • LANSOPRAZOLE
  • OMEPRAZOLE
  • FLUCONAZOLE
  • TICLOPIDINE
  • WARFARIN
  • DIPYRIDAMOLE
  • PHENPROCOUMON
  • MEFLOQUINE
  • FLECAINIDE
  • PROPAFENONE
  • PENTAMIDINE
  • PRAMLINTIDE

Special Advise

  • Your doctor may advice HbA1c regularly to monitor your sugar levels and dose adjustments.

  • If traveling across time zones, ask your doctor about how to adjust your insulin schedule. Take extra insulin and supplies with you.

Disease/Condition Glossary

In type 1 diabetes mellitus our body does not make insulin (the hormone which helps to decrease sugar levels in the blood) to control blood sugar levels. In type 2 diabetes mellitus, either the body stops producing enough insulin or there is resistance to the action of insulin. As a result, insulin is produced in sufficient amount but is unable to act on the tissues of the organs.

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